Individual
GEORGE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10003 NW MILITARY HWY STE 3111, SAN ANTONIO, TX 78231-1891
(210) 355-3551
Mailing address
PO BOX 745, BOERNE, TX 78006-0745
(210) 355-3551
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8993TG
TX
Other
Enumeration date
08/22/2016
Last updated
01/07/2024
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